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In this Article

• What is acetaminophen, butalbital, caffeine, and codeine (Fioricet with Codeine)?
• What are the possible side effects of acetaminophen, butalbital, caffeine, and codeine (Fioricet with Codeine)?
• What is the most important information I should know about acetaminophen, butalbital, caffeine, and codeine (Fioricet with Codeine)?
• What should I discuss with my healthcare provider before taking acetaminophen, butalbital, caffeine, and codeine (Fioricet with Codeine)?
• How should I take acetaminophen, butalbital, caffeine, and codeine (Fioricet with Codeine)?
• What happens if I miss a dose (Fioricet with Codeine)?
• What happens if I overdose (Fioricet with Codeine)?
• What should I avoid while taking acetaminophen, butalbital, caffeine, and codeine (Fioricet with Codeine)?
• What other drugs will affect acetaminophen, butalbital, caffeine, and codeine (Fioricet with Codeine)?
• Where can I get more information?

What happens if I miss a dose (Fioricet with Codeine)?

Since acetaminophen, butalbital, caffeine, and codeine is taken as needed, you may not be on a dosing schedule. If you are taking the medication regularly, take the missed dose as soon as you remember. If it is almost time for the next dose, skip the missed dose and wait until your next regularly scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose (Fioricet with Codeine)?

Seek emergency medical attention if you think you have used too much of this medicine. An overdose of acetaminophen, butalbital, caffeine, and codeine can be fatal.

Overdose symptoms may include extreme drowsiness or insomnia, restless feeling, tremors, fast heart rate, sweating, pinpoint pupils, nausea, vomiting, dark urine, jaundice (yellowing of the skin or eyes), confusion, fainting, weak pulse, coma, blue lips, shallow breathing, or no breathing.

What should I avoid while taking acetaminophen, butalbital, caffeine, and codeine (Fioricet with Codeine)?

This medication can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

Do not use any other cold, allergy, pain, or sleep medication without first asking your doctor or pharmacist. Acetaminophen (sometimes abbreviated as "APAP") is contained in many combination medicines. If you use certain products together you may accidentally use too much acetaminophen. Read the label of any other medicine you are using to see if it contains acetaminophen or APAP.

Avoid drinking alcohol while taking acetaminophen, butalbital, caffeine, and codeine. Alcohol may increase your risk of liver damage while taking acetaminophen.

While you are taking this medication, avoid taking diet pills, caffeine pills, or other stimulants (such as ADHD medications) without your doctor's advice.

What other drugs will affect acetaminophen, butalbital, caffeine, and codeine (Fioricet with Codeine)?

Before taking this medication, tell your doctor if you regularly use other medicines that make you sleepy (such as cold or allergy medicine, sedatives, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression, or anxiety). They can add to sleepiness caused by butalbital or codeine.

Also tell your doctor if you are using any of the following drugs:

• glycopyrrolate (Robinul);
• mepenzolate (Cantil);
• ciprofloxacin (Cipro);
• atropine (Donnatal, and others), benztropine (Cogentin), dimenhydrinate (Dramamine), methscopolamine (Pamine), or scopolamine (Transderm-Scop);
• bladder or urinary medications such as darifenacin (Enablex), oxybutynin (Ditropan, Oxytrol), tolterodine (Detrol), or solifenacin (Vesicare);
• a bronchodilator such as ipratropium (Atrovent) or tiotropium (Spiriva);
• irritable bowel medications such as dicyclomine (Bentyl) or hyoscyamine (Anaspaz, Cystospaz, and others); or
• an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate).

This list is not complete and there may be other drugs that can interact with acetaminophen, butalbital, caffeine, and codeine. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

Your pharmacist can provide more information about acetaminophen, butalbital, caffeine, and codeine.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

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